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How to Apply?

As per Rule 10, every occupier or operator handling Bio-Medical waste, irrespective of the quantity shall make an application in Form II to the prescribed authority (i.e. APPCB).

Prescribed Application Proforma

FORM – II

(See rule 10)

 

APPLICATION FOR AUTHORISATION OR RENEWAL OF AUTHORISATION

(To be submitted by occupier of health care facility or  common bio-medical waste treatment facility)

 

To

The Environmental Engineer,

A.P  Pollution Control Board,

Regional Office…………

 

1.Particulars of Applicant:

 

  • Name of the Applicant: (In block letters & in full)

 

  • Name of the health care facility (HCF) or common bio-medical waste treatment facility (CBWTF) :

 

  • Address for correspondence:

 

 

  • Tele No., Fax :

 

  • Email:

 

  • Website Address:

 

2.Activity for which authorisation is sought:

 

              Activity                                                                                                                  Please tick

Generation, segregation

Collection,

Storage

packaging

Reception

Transportation

Treatment or processing or conversion

Recycling

Disposal or destruction

use

offering for sale, transfer

Any other form of handling

 

3. Application for □ fresh or □ renewal of authorisation (please tick whatever is applicable):

 

(i)Applied for CFO/CFE:                                                                                                                Yes/No

 

(ii)In case of renewal previous authorisation number and date:

 

(iii)Status of Consents:

(a) Under the Water (Prevention and Control of Pollution) Act, 1974

 

(b) Under the Air (Prevention and Control of Pollution) Act,1981:

 

4.

(i) Address of the health care facility (HCF) or common bio-medical waste treatment facility (CBWTF):

 

(ii) GPS coordinates of health care facility (HCF) or common bio-medical waste treatment facility (CBWTF):

 

5. Details of health care facility (HCF) or common bio-medical waste treatment facility (CBWTF):

  • Number of beds of HCF:
  • Number of patients treated per month by HCF:
  • Number healthcare facilities covered by CBMWTF:______
  • No of beds covered by CBMWTF: _______
  • Installed treatment and disposal capacity of CBMWTF:             Kg per day
  • Quantity of biomedical waste treated or disposed by CBMWTF:              Kg/ day
  • Area or distance covered by CBMWTF: ___________

 

(pl. attach map a map with GPS locations of CBMWTF and area of coverage)

  • Quantity of Biomedical waste handled, treated or disposed:
Category Type of Waste Quantity Generated or Collected, kg/day

Method of Treatment and Disposal

(Refer Schedule- I)

(1) (2) (3) (4)
 

 

 

 

 

Yellow

(a) Human Anatomical Waste:
(b)Animal Anatomical Waste :
(c) Soiled Waste:
(d) Expired or Discarded Medicines:
(e) Chemical Solid Waste:
(f) Chemical Liquid Waste :
(g) Discarded linen, mattresses, beddings contaminated with blood or body fluid.
(h) Microbiology, Biotechnology and other clinical laboratory waste:
Red Contaminated Waste (Recyclable)
White (Translucent) Waste sharps including Metals:
Blue (a) Glassware:
(b) Metallic Body Implants:

 

6.Brief description of arrangements for handling of biomedical waste (attach details):

 

  • Mode of transportation (if any) of bio-medical waste:

 

  • Details of treatment equipment (please give details such as the number, type & capacity of each unit)

 

 No of units                                                                              Capacity of each unit

Incinerators :

Plasma Pyrolysis:

Autoclaves:

Microwave:

Hydroclave:

Shredder:

Needle tip cutter or destroyer

Sharps encapsulation or concrete pit:

Deep burial pits:

Chemical disinfection:

Any other treatment equipment:

 

7.Contingency plan of common bio-medical waste treatment facility (CBWTF)(attach documents):

 

8.Details of directions or notices or legal actions if any during the period of earlier authorisation

 

9.Declaration

I do hereby declare that the statements made and information given above are true to the best of my knowledge and belief and that I have not concealed any information.

 

I do also hereby undertake to provide any further information sought by the prescribed authority in relation to these rules and to fulfill any conditions stipulated by the prescribed authority.

 

 

Date :                                                                                                                                  Signature of the Applicant

 

Place :                                                                                                                                 Designation of the Applicant

 

The application shall be submitted along with prescribed fee and other enclosures such as DMHO registration certificate, membership of common facility, quantities of waste generated and disposed.

The application for authorization shall be submitted at the concerned Regional Office prior to commencement of activity in case of fresh applications and 90 days before the expiry of authorization in case of renewals.

All the HCFs having bed strength ≥25 beds, Medical colleges, CBMWTFs are also required to obtain Consent for Establishment (before starting construction activity) and obtain Consent for Operation (before commissioning the activity) from the Board.